Dr. Edward A Derck, Doctorate of Pharmac
Pharmacist in Rochester, NY. Individual provider (NPI-1).
NPI number1124451885
StatusActive
Last updated in NPPESAug 16, 2013
Details
- NPI
- 1124451885
- Entity type
- Individual (NPI-1)
- Name
- Dr. Edward A Derck
- Credential
- Doctorate of Pharmac
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2013
- Last updated
- Aug 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 20 056605 | NY | Yes |
Practice location
601 Elmwood AveRochester, NY 14642-0001
Phone 585-275-5212
Mailing address
336 Vollmer PkwyRochester, NY 14623-5250
Phone 585-857-6834
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